Individual provider Active NPI

Christina Fereshta Nawabi, DPM

  • Podiatrist
  • Smithtown, NY
National Provider Identifier
1396190740
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N007026 Issued in NY
Practice address
2 Brooksite Dr Ste 230
Smithtown, NY 11787-3492
Phone
(516) 606-7784
Fax
(516) 506-7123
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N007026 NY Primary

Addresses

Primary practice location

2 Brooksite Dr Ste 230
Smithtown, NY 11787-3492

Mailing address

2 Brooksite Dr Ste 230
Smithtown, NY 11787-3492
Phone (516) 606-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212000279 NY Practitioner - Podiatry 7416380050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 W Montauk Hwy
Life Care Ctr
Hampton Bays, NY 11946
Phone (631) 723-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue114
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007026NYMDPodiatrist
007026NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Surgical Associates, University Faculty Practice Corporati CurrentSince Oct 1, 2021 Accepting new patients
Cohn Plastic Surgery, PC CurrentSince Mar 30, 2024 Accepting new patients
Sound Foot Care PC CurrentSince Aug 28, 2020 Accepting new patients

Locations

23 S Howell Ave
Ste G
Centereach, NY 11720
Phone (631) 638-1279

79 Middleville Rd
Northport, NY 11768
Phone (631) 266-6057

37 Research Way
Setauket, NY 11733
Phone (631) 444-4121

2 Brooksite Dr
Ste 230
Smithtown, NY 11787
Phone (516) 606-7784

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cnawabi130362@direct-chsli.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1396190740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR STE 230",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "516-606-7784",
            "fax_number": "516-506-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKSITE DR STE 230",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873492",
            "telephone_number": "516-606-7784",
            "fax_number": "516-506-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAWABI",
        "first_name": "CHRISTINA",
        "middle_name": "FERESHTA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N007026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.